Aguirre GHG, Vázquez EF

Language: Spanish
References: 12
Page: 495-503
PDF size: 80.40 Kb.

ABSTRACT

At the present time, care the patients safety during across the process of health is a priority target and determine the urgent necessity, to guarantee the satisfaction of their health needs, on best conditions as possible as it is, without complications for adverse events occurring in the medical attention. This paper purpose definition of different concepts like medical error, medical criteria, adverse and sentinel event, in order to define these concepts. Also try to show the sequence of events for a correct or incorrect medical decision, the consequent mistake and the possibility to produce an adverse event, with patient’s damage. An important goal is that the medical practice is immersing in a biological paradigm, define like unpredictable, suitable, reactive and creative; very different to the exact science that has a predictable and structured paradigm, supported in mathematical rules. In the medical practice, each patient is an inedited situation and required all the knowledge, skills and experience in order to satisfy specific health needs, particularly in critical moments. The way for protect the occurrence of medical error include the clinical practices guidelines, evidence based medicine, the maintenance of professional competences by the continuous training, the close medical-patient relationship, integral approach of the illness and scrupulous data at the clinical record. In consequence, very often medical errors produce adverse events with damage of patients, or sentinel events with serious consequences of heath, integrity or patient’s life. Is important to said that the adverse events could be appear even without a medical error, just for failures in structural and systems issues, including resources and it’s maintaining, organizational variables, communication, human resources, training programs, process without standardization, failures an supervision or control phases. This paper shows the current adverse and sentinels events, distinguish between the possibility of its measurement with good and standardized register systems.

REFERENCES

1. 1. Aguirre Gas H. Principios éticos de la práctica médica. Cir Ciruj 2004;72: 503-510.

2. 2. Khon LT, Corrigan JM, Donaldson MS. To err is human. Building a safer health system. Washington DC: National Academy Press; 2000.

3. 3. Aguirre-Gas H. Calidad de la atención médica. Tercera edición. México: Conferencia Interamericana de Seguridad Social-Noriega Editores; 2002.

4. 4. Saturno PJ. Análisis del liderazgo en los servicios de salud. Manual del Master en gestión de la calidad en los servicios de Salud. Modulo 8: Murcia; 2001.

5. 5. Barrows H. S. An overview of the uses of standardized patient for teaching and evaluating skills. Acad Med 1993;68:443-451.

6. 6. Ponce de León S. La toma de decisiones médicas. Seminario para el Estudio de los Problemas Actuales de la Medicina. Formación Clínica de las Nuevas Generaciones de Médicos. México: Facultad de Medicina, UNAM; 2006.

7. 7. Aguirre-Gas H. El error médico. Eventos adversos. Rev CONAMED 2005.

8. 8. Diccionario de la Real Academia de la Lengua Española. España: Espasa Calpe; 2002.

9. 9. Gallardo-Rincón H. Prevención y control de los eventos adversos en hospitales. Congreso Médico de los Altos. Hospital del Centro Médico Alteño, Tepatitlán, Jalisco, México, 2006.

10. 10. Ramos-de Viezca MB. El paciente como modelo de enseñanza. Seminario para el Estudio de los Problemas Actuales de la Medicina. Formación Clínica de las Nuevas Generaciones de Médicos. México: Facultad de Medicina, UNAM; 2006.

11. 11. Chávez I. La educación superior en México y sus problemas, particularmente en el campo de la medicina. San Luis Potosí, junio 1 de 1976. Humanismo Médico. Conferencias y Discursos. México: Facultad de Medicina, UNAM; 2003. p. 130-139.

12. 12. Viesca-Treviño C, Ponce de León ME, Sánchez-Mendiola M. Razonamiento clínico. Seminario para el Estudio de los Problemas Actuales de la Medicina. Formación Clínica de las Nuevas Generaciones de Médicos. México: Facultad de Medicina, UNAM; 2006.